Afficher la couverture 'General practitioners' role in shared decision-making about palliative cancer treatment : qualitative study | BOS-VAN DEN HOEK, Danique' en grand format
/5

0 avis

General practitioners' role in shared decision-making about palliative cancer treatment : qualitative study

Article indépendant

BOS-VAN DEN HOEK, Danique | VAN DER VELDEN, Naomi | HUISMAN, Rozemarijn | VAN LAARHOVEN, Hannneke | TANGE, Dorien | WIND, Jan | SMETS, Ellen | HENSELMANS, Inge

BACKGROUND: General practitioners (GPs) are well-positioned to enhance shared decision-making (SDM) about treatment for patients with advanced cancer. However, to date, little is known about GPs' views on their contribution to SDM. AIM: To explore GPs' perspectives on their role in SDM about palliative cancer treatment and the preconditions to fulfil this role. DESIGN AND SETTING: Qualitative interview study among Dutch GPs. METHOD: GPs were sampled purposefully and conveniently. In-depth semi-structured interviews were conducted, recorded and transcribed verbatim. The transcripts were analysed by thematic analysis. RESULTS: Most GPs reported practices that potentially support SDM: checking the quality of a decision, complementing SDM and enabling SDM. Even though most GPs felt that decision-making about systemic cancer treatment is primarily the oncologist's responsibility, they do recognise their added value in the SDM-process because of their gatekeeper position, the additional opportunity they offer patients to discuss treatment decisions and their knowledge and experience as primary healthcare provider at the end of life. Preconditions for supporting the SDM-process were 1) good collaboration with oncologists, 2) sufficient information about the disease and its treatment, 3) sufficient time, 4) a trusting relationship with patients and 5) patient-centred communication. CONCLUSION: GPs may support SDM by checking the quality of a decision and by complementing and enabling the SDM-process to reach high quality decisions. This conceptualisation may help understand how SDM is carried out through interprofessional collaboration and provide tools for how to adopt a role in the interprofessional SDM-process.

http://dx.doi.org/10.3399/BJGP.2021.0446

Voir la revue «The British journal of general practice»

Autres numéros de la revue «The British journal of general practice»

Consulter en ligne

Suggestions

Du même auteur

Through the eyes of patients : The effect of ...

Article indépendant | BOS-VAN DEN HOEK, Danique W. | Medical decision making

PURPOSE: To examine the effects of training general practitioners and nurses in shared decision-making (SDM) support as perceived by cancer patients and survivors. DESIGN: An innovative, experimental design was adopted that includ...

Potential adverse outcomes of shared decision...

Article indépendant | VAN DE WATER, Loïs F. | Medical decision making | n°1 | vol.44

Background: While shared decision making (SDM) is advocated for ethical reasons and beneficial outcomes, SDM might also negatively affect patients with incurable cancer. The current study explored whether SDM, and an oncologist tr...

Potential adverse outcomes of shared decision...

Article indépendant | VAN DE WATER, Loïs F. | Medical decision making | n°1 | vol.44

Background: While shared decision making (SDM) is advocated for ethical reasons and beneficial outcomes, SDM might also negatively affect patients with incurable cancer. The current study explored whether SDM, and an oncologist tr...

De la même série

Complex advance care planning intervention in...

Article indépendant | STEVENS, Julie | The British journal of general practice | n°739 | vol.74

BACKGROUND: Advance care planning (ACP) is an iterative communication process about patients' preferences for future care. In general practice, there are barriers to ACP at patient, GP, and healthcare-system levels. A complex inte...

Advance care planning in primary care for pat...

Article indépendant | CANNY, Anne | The British journal of general practice | n°721 | vol.72

BACKGROUND: Advance (anticipatory) care planning (ACP) requires discussions between patients and healthcare professionals about planning for future deterioration in health. ACP improves care coordination but uptake is limited and ...

Palliative care is increasing, but curative c...

Article indépendant | MURRAY, Scott | The British journal of general practice | n°710 | vol.71

The introduction of early palliative care might be hoped to moderate the medicalisation of dying and the increasingly frequent medical and surgical treatment that patients generally receive in the last months of life. Indeed the o...

The impact on general practice of prescribing...

Article indépendant | REGNARD, Claud F.B. | The British journal of general practice | n°712 | vol.71

Assisted dying is the topic of much debate by societies and governments today. The issue of the drugs used to assist patients in dying, and their safety and efficacy, is rarely discussed. This has important implications for UK gen...

Supporting GPs around euthanasia requests fro...

Article indépendant | SCHUURMANS, Jaap | The British journal of general practice | n°700 | vol.70

BACKGROUND: Euthanasia has been regulated by law under strict conditions in the Netherlands since 2002. Since then the number of euthanasia cases has constantly increased, and increased exponentially for patients with dementia (PW...

Chargement des enrichissements...